Acceptance of Self-Sampling Among Long-Term Cervical Screening Non-Attenders with HPV-Positive Results: Promising Opportunity for Specific Cancer Education

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MARC

Andersson, SoniaKarolinska Institutet (author)

Acceptance of Self-Sampling Among Long-Term Cervical Screening Non-Attenders with HPV-Positive Results : Promising Opportunity for Specific Cancer Education

Article/chapterEnglish2021

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2019-09-14
Springer,2021
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:oru-78277
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-78277URI
https://doi.org/10.1007/s13187-019-01608-0DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:144778182URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies:Medical Research Council UK (MRC) LS 2015-1198Cancer Society in Stockholm 154022
This study aims to investigate acceptance of vaginal self-sampling for high-risk human papilloma virus (HPV) among long-term screening non-attenders at increased cervical cancer risk and to identify leverage points to promote screening adherence among these women. Forty-three long-term screening non-attenders performed home vaginal self-sampling for HPV, had positive HPV results, and subsequently attended gynecologic examination. Sixteen (37.2%) had high-grade cervical intraepithelial neoplasia (CIN2 or 3), and two had invasive cervical cancer. Forty-one of these women completed a questionnaire concerning Specific Knowledge about HPV, CIN, and cervical cancer, potential barriers to screening and views about self-sampling. Results were compared with 479 women treated for CIN2+ who attended gynecologic follow-up and also performed self-sampling. Significant multivariate predictors of long-term non-attender status compared with referents were low Specific Knowledge, high confidence in self-sampling, and potential barriers-refraining from activity to attend gynecologic examination, needing another's help to attend, and long travel time. Non-attenders citing fear/refraining from gynecologic examination as why they preferred self-sampling significantly more often had lowest Specific Knowledge compared with other non-attenders. All non-attenders could envision themselves doing self-sampling again while only 74% of referents endorsed this statement (p = 0.0003). We conclude that HPV self-sampling is an acceptable option for women at increased cervical cancer risk who have been long-term screening non-attenders. Educational outreach to enhance Specific Knowledge about HPV, CIN and cervical cancer is critical. Those non-attenders who explicitly avoid gynecologic examinations need special attention. Trial Registry: Clinicaltrials.gov NCT02750124.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
Cervical cancer screening
HPV testing
Leverage points
Selfcollection
Specific knowledge

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Belkić, KarenKarolinska Institutet (author)
Mints, Miriam,1958-Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Women's and Children's Health, Karolinska University Hospital and Institute, Stockholm, Sweden(Swepub:oru)mms (author)
Östensson, EllinorKarolinska Institutet (author)
Karolinska InstitutetInstitutionen för medicinska vetenskaper (creator_code:org_t)

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In:Journal of Cancer Education: Springer36:1, s. 126-1330885-81951543-0154

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